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Kansas rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.07 / $122.93 / $211.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $140.12 / $171.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.73 / $50.06 / $60.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.33 / $263.33 / $263.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.87 / $203.11 / $315.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.76 / $73.80 / $151.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.19 / $219.19 / $219.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.66 / $209.43 / $1,161.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.97 / $79.00 / $585.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.11 / $174.16 / $289.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.37 / $74.23 / $107.31